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Notes on Quasi-Experimental Research & Ethics

Quasi-Experimental Research & Ethics — Study Notes

  • Purpose of today’s session

    • Finish discussion of research methods by covering quasi-experimental designs
    • Explore retrospective and prospective designs, developmental designs, and single-subject designs
    • Briefly discuss ethics in research, including the Tuskegee syphilis study, the Belmont Report, and Institutional Review Boards (IRBs)
    • Learning goals: define and give examples of quasi-experimental methods; differentiate retrospective vs prospective studies; name, describe, and differentiate Belmont Report principles
  • Quick course logistics (recap from transcript)

    • Test scope: everything up to today’s class including today’s material
    • Next test: approximately two lectures worth (e.g., lectures 1–5, depending on numbering)
    • Instructor availability: email anytime; will respond when possible
  • Quick concept check (context from last class)

    • Controlling for participant variables and demand characteristics
    • Correct answer discussed: random assignment + double blind studies
    • Key concepts:
    • Participant variables: characteristics of a participant that can impact responses (e.g., fitness level, baseline stress)
    • Demand characteristics: cues that influence participants to respond in a way they think the experimenter wants
    • Double-blind design: both participants and experimenters are blind to the condition (which group a participant is in) to reduce bias
    • Random assignment: randomly placing participants into experimental vs control conditions to avoid systematic differences
  • Quasi-experimental research: core idea

    • Definition: a design that resembles an experimental design but lacks full random assignment
    • Why it’s used: in health psychology and social science, it’s often impossible or unethical to manipulate certain variables
    • Key feature: participants are grouped based on preexisting traits or conditions that cannot be randomly assigned
    • Causal inference caveat: due to non-random assignment, stronger claims of causality are cautious; typically you infer associations rather than definitive causation
    • Common approach: attempt to control for confounds through design or statistical methods, but cannot guarantee equivalence of groups
  • Core quasi-experimental designs in health psychology (three main categories taught)

    • Retrospective and Prospective studies
    • Developmental studies
    • Single-subject designs
  • Retrospective vs Prospective designs

    • Retrospective studies
    • Look back after an outcome has occurred (e.g., disease, illness)
    • Compare a group with the outcome to a similar group without the outcome
    • Methods: examine medical records, work history, lived experiences to identify commonalities that might explain the outcome
    • Real-world example discussed: nurses with noncancerous brain tumors clustered on a labor and delivery unit; retrospective look suggested a common occupational exposure
    • Key limitations:
      • Memory biases and inaccurate self-reports
      • Missing or incomplete records
      • Confounding factors not controllable after the fact
    • Prospective studies
    • Follow a cohort over time to see whether a development or outcome occurs
    • Collect data on exposures and histories before the outcome occurs
    • Example discussed: effect of smoking during pregnancy on birth weight; follow pregnant people over time and compare babies’ birth weights
    • Key limitation: not randomized; other factors (e.g., SES, access to resources) may confound results
    • Advantage: clearer temporal sequencing (exposure precedes outcome)
    • Commonality: both are quasi-experimental because assignment to exposure groups is not randomized
  • Developmental quasi-experimental designs

    • Focus on age-related factors; age is treated as a quasi-manipulated variable
    • Cross-sectional designs
    • Study different age groups at the same time
    • Example: prevalence of a disease across age bands (e.g., 20–35, 36–50, 51–65)
    • Limitation: cohort effects can confound interpretation
      • Cohort effect: differences between age groups may reflect different historical exposures rather than aging per se
      • Example discussion: younger cohorts may experience different environmental exposures than older cohorts, skewing observed relationships
    • Practical notes: cost-efficient and fast, but less able to infer aging trajectories
    • Longitudinal designs
    • Follow the same group over time to observe development or change
    • Advantage: can map developmental trajectories within individuals
    • Disadvantage: expensive, lengthy, higher risk of attrition (participants drop out); resource-intensive
    • Common practice: short-term longitudinal studies (e.g., 2–6 weeks) due to practicality
  • Single-subject designs

    • Very small-N studies (often N = 1)
    • Used when a participant has a rare condition or when individualized treatment effects are of interest
    • Structure: use baseline (pre-treatment) as control; compare to outcomes after a treatment is introduced
    • Distinction from case studies:
    • Single-subject design is quasi-experimental with a within-subject comparison to baseline
    • Case study is purely observational without a formal experimental manipulation or control condition
  • Example-driven clarification (smoking during pregnancy, birth weight, etc.)

    • Quasi-experimental example: observing birth weights in babies of mothers who smoked vs. those who did not, without random assignment to smoking conditions
    • Interpretation caution: observed associations may be due to other correlated factors (e.g., SES, nutrition, healthcare access)
  • Formulas and notation (basic design and causal thinking)

    • Causal effect under random assignment (conceptual):
      au = ext{E}[Y \,|\, X=1] - ext{E}[Y \,|\, X=0]
      where Y = outcome (dependent variable), X = exposure/condition (1 = exposed, 0 = not exposed)
    • General causal model (conceptual):
      Y = f(X) + \,\varepsilon
      where \varepsilon captures unmeasured confounds and random error
  • Recap of key terms

    • Participant variables: attributes of participants that can affect outcomes (e.g., fitness, prior experiences)
    • Demand characteristics: cues that influence participants to respond in a way they think the study wants
    • Double-blind: both participant and experimenter are unaware of which condition a participant is in
    • Random assignment: randomly allocate participants to conditions to ensure equivalence across groups
    • Retrospective vs Prospective: looking backward after an outcome vs following forward to observe future outcomes
    • Cross-sectional vs Longitudinal: different age groups at one time vs same group across time
    • Cohort effects: historical or environmental differences across age groups that confound age-related interpretations
  • Ethics in research: the Belmont Report, Tuskegee, and IRBs

    • Tuskegee Syphilis Study (1932–1972)
    • Conducted by Tuskegee University researchers with support from the U.S. government
    • 400–600 impoverished Black men with syphilis and a comparison group; men were not informed of their condition and did not receive treatment even after penicillin became available
    • Ethical violations included deception, lack of informed consent, withholding treatment, and exploitation of a vulnerable population
    • Outcome: catalyzed reforms in human subjects research governance
    • Belmont Report (1979) and its ethical principles 1) Respect for Persons
      • Autonomy and informed consent; individuals should enter research voluntarily and can withdraw at any time
      • Informed consent components include disclosure of risks, costs, benefits, and the right to withdraw
        2) Beneficence
      • Maximize benefits while minimizing risks; weigh risks and benefits; protect participants from harm; consider privacy and confidentiality
      • Examples of potential costs: time, mental/physical effort, possible discomfort; benefits can include knowledge, access to new therapies, or improvements in welfare
        3) Justice
      • Fair and non-exploitative treatment; equitable selection of participants; ensure vulnerable populations are not exploited
      • If a study targets a specific group, provide a theoretical justification for their inclusion; avoid excluding groups without rationale
    • Informed consent and debriefing
    • Informed consent: participants must be given sufficient information to decide; costs, benefits, potential harms, and withdrawal rights must be disclosed
    • Debriefing: provided after participation, especially when deception was used; reveals true purpose of the study, offers support/resources if needed, and allows participants to withdraw their data if desired
    • Institutional Review Boards (IRBs)
    • Institutional committees (at universities, hospitals, etc.) that review all research involving human subjects before it begins
    • Responsibilities: ensure participant rights and welfare; review consent forms, recruitment materials, debriefing scripts, and data handling procedures
    • Requirement: typically mandated for federally funded research; there are analogous processes for animal research
    • Practical ethics implications highlighted in class
    • Deception requires thorough debriefing and justification; participants should be aware that deception occurred and whether data will be retained
    • Respect for persons requires that coercive elements (e.g., excessive payment) are avoided; participation should be voluntary and informed
    • Justice demands careful consideration of who is included in research and why; avoid exploiting vulnerable populations
  • Test-taking tips from today’s content

    • Be able to distinguish quasi-experimental designs from true experiments: lack of random assignment is key
    • Be able to differentiate retrospective vs prospective designs and identify their weaknesses and strengths
    • Be able to name the Belmont Report’s three ethical principles and describe what each implies in practice
    • Recognize the role of IRBs in approving and monitoring studies involving human participants
    • Understand how participant variables and demand characteristics can bias results, and how double-blind and random assignment mitigate these issues
  • Real-world takeaways for exam preparation

    • Recognize when a study is quasi-experimental based on lack of random assignment and ethical/practical constraints
    • Distinguish cross-sectional versus longitudinal designs and identify cohort effects or attrition issues as needed
    • Cite historical ethical breaches (e.g., Tuskegee) as motivators for modern ethical safeguards (Belmont Report, informed consent, debriefing, IRBs)
    • Be comfortable discussing how ethical principles translate into everyday research design decisions (e.g., how to minimize harm, ensure fairness, and respect autonomy)
  • Quick glossary (to review before the exam)

    • Quasi-experimental design: resembles an experiment but lacks random assignment
    • Retrospective study: looks backward to identify causes after an outcome has occurred
    • Prospective study: follows participants forward in time to observe outcomes
    • Cross-sectional study: compares different age groups at one point in time
    • Longitudinal study: follows the same group over time
    • Single-subject design: N = 1 with within-subject comparisons
    • Informed consent: voluntary, informed agreement to participate
    • Debriefing: post-study explanation and support if deception or distress occurred
    • IRB: Institutional Review Board, responsible for protecting human subjects in research
    • Belmont Report: foundational document outlining respect for persons, beneficence, and justice
  • Final reminder from instructor

    • For the upcoming test, you will be responsible for defining and giving examples of quasi-experimental methods, differentiating retrospective and prospective designs, and knowing the Belmont Report principles and IRB role
    • You must be present to take the online Canva test
  • illustrative example recap (as reminders)

    • Example: employment-related exposure studies after a cluster of illness outcomes emerged
    • Example: prospective birth-control and cancer risk cohort study
    • Example: real-world case where a deception-heavy study was debriefed afterward to mitigate potential harm
  • Equations to memorize (optional quick reference)

    • Causal effect under random assignment: au = ext{E}[Y \,|\, X=1] - ext{E}[Y \,|\, X=0]
    • General observation model: Y = f(X) + \varepsilon
  • End note

    • The material integrates design choices (randomization, blinding, and control) with ethical safeguards (informed consent, debriefing, justice). Practice identifying the design type from a study description and articulating which Belmont principles apply in each case.